Long, Edgar Charles John

Long, Edgar Charles John is an sole proprietor health care provider with primary practice located at 2163 Cornerstone Dr , Mt Pleasant MI 48858-8029. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is his primary health care specialty. Long, Edgar Charles John can be contacted via phone (989) 330-2417.

Contact Information

Primary practice address
2163 Cornerstone Dr Mt Pleasant MI 48858-8029
Phone: (989) 330-2417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Family 103TF0000X 4101005371 Michigan

Profile Details

NPI number 1902375652
LBN Legal business name Long, Edgar Charles John
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2018
Last updated Nov 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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